Evaluating the implementation of a ward-based training programme within a psychiatric intensive care unit using Normalisation Process Theory.

Background: Strong staff–patient relationships are essential for the provision of high quality care within psychiatric intensive care units. These relationships can be strengthened through staff training interventions, for example, the Safe & Secure programme. However, interventions delivered in psy...

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Publicado en:Journal of Psychiatric Intensive Care Vol. 21; no. 2; pp. 83 - 94
Autores principales: Duffy, Aiden, Goodall, Karen, Carmichael, David, Harper, Sean, Sivyer, Katy, Carnelley, Kathy, Maguire, Tess, Newman-Taylor, Katherine
Formato: glossary research tables/charts Journal Article
Publicado: National Association of Psychiatric Intensive Care & Low Secure Units (NAPICU) Sep2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2025
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      pub: National Association of Psychiatric Intensive Care & Low Secure Units (NAPICU)
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        10.20299/jpi.2025.008
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        atl: Evaluating the implementation of a ward-based training programme within a psychiatric intensive care unit using Normalisation Process Theory.
      aug:
        au:
          Duffy, Aiden
          Goodall, Karen
          Carmichael, David
          Harper, Sean
          Sivyer, Katy
          Carnelley, Kathy
          Maguire, Tess
          Newman-Taylor, Katherine
        affil: Department of Clinical & Health Psychology, University of Edinburgh, UK.
      sug:
        subj:
          Program Implementation
          Psychiatric Units
          Intensive Care Units
          Psychological Theory
          Professional Practice
          Psychiatric Service
          Staff Development
          Human
          Male
          Female
          Adult
          Middle Age
          Multimethod Studies
          Semi-Structured Interview
          Thematic Analysis
          Focus Groups
          Questionnaires
          Hospitals, Public Scotland
          Scotland
          Mental Health Evaluation
          Seminars and Workshops
          National Health Programs
          Cognition
          Descriptive Statistics
          Comparative Studies
          Summated Rating Scaling
          Implementation Science
          Mental Disorders Nursing
          Attitude of Health Personnel
          Health Personnel Education
          Psychiatric Nursing Education
          Professional-Patient Relations
          Organizational Culture
          Medical Practice, Evidence-Based
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Background: Strong staff–patient relationships are essential for the provision of high quality care within psychiatric intensive care units. These relationships can be strengthened through staff training interventions, for example, the Safe & Secure programme. However, interventions delivered in psychiatric intensive care units are difficult to implement and sustain. Normalisation Process Theory offers a framework through which to measure how effectively new interventions are implemented in this setting. Method: The aim of the study was to assess the implementation of a ward-based team training programme within a psychiatric intensive care unit. Following the delivery of the Safe & Secure ward-based team training programme, staff were interviewed about their experience and completed a quantitative measure of normalisation: the NoMAD. Interviews were analysed using reflexive thematic analysis with codes being grouped under the four constructs of Normalisation Process Theory. Results: Staff reported being able to recognise the utility of the intervention and, qualitatively, reported seeing it as beneficial for their clinical practice. NoMAD scores were high, indicating the normalisation of the intervention. However, staff found it difficult to quantify how the intervention had improved their practice. They also reported difficulties with applying the intervention in certain circumstances. Staff expressed concerns about intervention sustainability. Conclusions: The Safe & Secure ward-based team training programme was implemented and normalised into routine practice. The study identified areas for improvement in future deliveries of the programme. The study also provided useful information to help inform the future implementation of ward-based team trainings in psychiatric intensive care units.
      pubtype: Academic Journal
      doctype:
        glossary
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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